Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12130 | Date 23/09/2024 |
| Token No | SM/24-25/18935 23/09/2024 | Serial | 014 |
| Patient Name | Miss DEBSMITA DAS | Contact No | 7595879980 |
| Address | 73/33 JITEN LAHIRI ROAD | Age | 30 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||